Healthcare Provider Details

I. General information

NPI: 1942738737
Provider Name (Legal Business Name): RACHEL PATRICK RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL BOCHY

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 WINCHESTER DR
EAST HELENA MT
59635-3436
US

IV. Provider business mailing address

14 S WILLSON AVE
BOZEMAN MT
59715-6232
US

V. Phone/Fax

Practice location:
  • Phone: 406-855-1965
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86035331
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: